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Source1

{
  "resourceType": "CodeSystem",
  "id": "breast-questionnaire-options",
  "language": "en",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "url": "https://tx.hl7.lt/fhir/CodeSystem/breast-questionnaire-options",
  "version": "0.0.1",
  "name": "BreastQuestionnaireOptions",
  "title": "Breast questionnaire answer options (illustrative)",
  "status": "draft",
  "experimental": true,
  "date": "2026-03-29T12:06:43+00:00",
  "publisher": "Lithuanian Medical Library",
  "contact": [
    {
      "name": "Lithuanian Medical Library",
      "telecom": [
        {
          "system": "url",
          "value": "https://medicinosnk.lt"
        },
        {
          "system": "email",
          "value": "info@medicinosnk.lt"
        }
      ]
    }
  ],
  "description": "Illustrative codes for Questionnaire answer options used in breast ESPBI-style forms. Register or replace with national coded values in production.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "urn:iso:std:iso:3166",
          "code": "LT"
        }
      ]
    }
  ],
  "caseSensitive": true,
  "content": "complete",
  "count": 100,
  "concept": [
    {
      "code": "yes",
      "display": "Yes"
    },
    {
      "code": "no",
      "display": "No"
    },
    {
      "code": "unknown",
      "display": "Unknown"
    },
    {
      "code": "acr-a",
      "display": "ACR A – Almost entirely fatty"
    },
    {
      "code": "acr-b",
      "display": "ACR B – Scattered areas of fibroglandular density"
    },
    {
      "code": "acr-c",
      "display": "ACR C – Heterogeneously dense"
    },
    {
      "code": "acr-d",
      "display": "ACR D – Extremely dense"
    },
    {
      "code": "birads-0",
      "display": "BI-RADS 0 – Incomplete examination"
    },
    {
      "code": "birads-1",
      "display": "BI-RADS 1 – No changes found"
    },
    {
      "code": "birads-2",
      "display": "BI-RADS 2 – Benign changes found"
    },
    {
      "code": "birads-3",
      "display": "BI-RADS 3 – Possibly benign changes"
    },
    {
      "code": "birads-4",
      "display": "BI-RADS 4 – Suspicious malignant finding"
    },
    {
      "code": "birads-5",
      "display": "BI-RADS 5 – Highly probable malignant finding"
    },
    {
      "code": "finding-formation",
      "display": "Formation (mass)"
    },
    {
      "code": "finding-calcification",
      "display": "Calcification"
    },
    {
      "code": "finding-deformation",
      "display": "Architectural deformation"
    },
    {
      "code": "finding-asymmetry",
      "display": "Focal asymmetric tissue"
    },
    {
      "code": "dynamics-none",
      "display": "Image without negative dynamics"
    },
    {
      "code": "dynamics-negative",
      "display": "Negative dynamics observed"
    },
    {
      "code": "biopsy-us-guided",
      "display": "Biopsy under ultrasound guidance"
    },
    {
      "code": "biopsy-xray-guided",
      "display": "Biopsy under X-ray guidance"
    },
    {
      "code": "parenchyma-fatty",
      "display": "Homogeneous adipose tissue"
    },
    {
      "code": "parenchyma-fibroglandular",
      "display": "Homogeneous fibroglandular"
    },
    {
      "code": "parenchyma-heterogeneous",
      "display": "Heterogeneous"
    },
    {
      "code": "nature-cyst",
      "display": "Cyst"
    },
    {
      "code": "nature-lymph-node",
      "display": "Breast lymph node"
    },
    {
      "code": "nature-fibroadenoma",
      "display": "Fibroadenoma"
    },
    {
      "code": "nature-papilloma",
      "display": "Papilloma"
    },
    {
      "code": "nature-lipoma",
      "display": "Lipoma"
    },
    {
      "code": "nature-malignant",
      "display": "Tumor (malignant)"
    },
    {
      "code": "nature-abscess",
      "display": "Abscess"
    },
    {
      "code": "nature-other",
      "display": "Other (free text)"
    },
    {
      "code": "ducts-normal",
      "display": "Ducts not expanded"
    },
    {
      "code": "ducts-expanded",
      "display": "Ducts expanded"
    },
    {
      "code": "right",
      "display": "Right"
    },
    {
      "code": "left",
      "display": "Left"
    },
    {
      "code": "ln-level-n1",
      "display": "N1"
    },
    {
      "code": "ln-level-n2",
      "display": "N2"
    },
    {
      "code": "ln-level-n3",
      "display": "N3"
    },
    {
      "code": "fixation-formalin",
      "display": "Fixed (10% formalin buffered solution)"
    },
    {
      "code": "fixation-unfixed",
      "display": "Unfixed"
    },
    {
      "code": "proc-none",
      "display": "No important information"
    },
    {
      "code": "proc-biopsy",
      "display": "Biopsy"
    },
    {
      "code": "proc-excision",
      "display": "Excision"
    },
    {
      "code": "proc-other-operation",
      "display": "Other operation"
    },
    {
      "code": "proc-chemotherapy",
      "display": "Chemotherapy"
    },
    {
      "code": "proc-radiation",
      "display": "Radiation (breast)"
    },
    {
      "code": "proc-immunotherapy",
      "display": "Immunotherapy"
    },
    {
      "code": "op-thick-needle-biopsy",
      "display": "Thick needle biopsy"
    },
    {
      "code": "op-excision",
      "display": "Excision"
    },
    {
      "code": "op-other",
      "display": "Other (free text)"
    },
    {
      "code": "ihc-negative",
      "display": "Negative"
    },
    {
      "code": "ihc-weak",
      "display": "Weak (+)"
    },
    {
      "code": "ihc-moderate",
      "display": "Moderate (++)"
    },
    {
      "code": "ihc-strong",
      "display": "Strong (+++)"
    },
    {
      "code": "her2-negative",
      "display": "HER2: expression absent (0)"
    },
    {
      "code": "her2-low",
      "display": "HER2: low immunohistochemical expression (1+)"
    },
    {
      "code": "her2-borderline",
      "display": "HER2: expression borderline (2+)"
    },
    {
      "code": "her2-positive",
      "display": "HER2: expression positive (3+)"
    },
    {
      "code": "her2-eval-0",
      "display": "HER2 evaluation: 0+"
    },
    {
      "code": "her2-eval-1",
      "display": "HER2 evaluation: 1+"
    },
    {
      "code": "her2-eval-2",
      "display": "HER2 evaluation: 2+"
    },
    {
      "code": "her2-eval-3",
      "display": "HER2 evaluation: 3+"
    },
    {
      "code": "fish-amplified",
      "display": "FISH: HER2 amplified"
    },
    {
      "code": "fish-amplified-clusters",
      "display": "FISH: amplified (clusters)"
    },
    {
      "code": "fish-co-amplified",
      "display": "FISH: co-amplified (HER2>=6, HER2/CEP17<2)"
    },
    {
      "code": "fish-borderline",
      "display": "FISH: borderline (4<=HER2<6, HER2/CEP17<2)"
    },
    {
      "code": "fish-monosomic",
      "display": "FISH: monosomic (HER2<4, HER2/CEP17>=2)"
    },
    {
      "code": "fish-negative",
      "display": "FISH: negative (HER2<4, HER2/CEP17<2)"
    },
    {
      "code": "fish-not-evaluated",
      "display": "FISH: not to be evaluated"
    },
    {
      "code": "cish-amplified",
      "display": "CISH/SISH: HER2 amplified"
    },
    {
      "code": "cish-not-amplified",
      "display": "CISH/SISH: HER2 not amplified"
    },
    {
      "code": "cish-not-evaluated",
      "display": "CISH/SISH: not to be evaluated"
    },
    {
      "code": "grade-g1",
      "display": "G1 (well-differentiated)"
    },
    {
      "code": "grade-g2",
      "display": "G2 (moderately differentiated)"
    },
    {
      "code": "grade-g3",
      "display": "G3 (poorly differentiated)"
    },
    {
      "code": "grade-gx",
      "display": "Gx (degree of differentiation undetermined)"
    },
    {
      "code": "lvi-0",
      "display": "pLVI-0: not detected"
    },
    {
      "code": "lvi-1",
      "display": "pLVI-1: spreading, otherwise unclassified"
    },
    {
      "code": "lvi-2",
      "display": "pLVI-2: only in lymphatic vessels and small blood vessels"
    },
    {
      "code": "lvi-3",
      "display": "pLVI-3: only in veins (large, thick-walled blood vessels)"
    },
    {
      "code": "lvi-4",
      "display": "pLVI-4: present in both lymphatic vessels and veins"
    },
    {
      "code": "lvi-9",
      "display": "pLVI-9: undetectable/unknown"
    },
    {
      "code": "uoq",
      "display": "Upper outer quadrant"
    },
    {
      "code": "uiq",
      "display": "Upper inner quadrant"
    },
    {
      "code": "loq",
      "display": "Lower outer quadrant"
    },
    {
      "code": "liq",
      "display": "Lower inner quadrant"
    },
    {
      "code": "rec-mammographic-control",
      "display": "Mammographic control"
    },
    {
      "code": "rec-additional-mammography",
      "display": "Additional mammography"
    },
    {
      "code": "rec-spot-compression",
      "display": "Local compression with magnification"
    },
    {
      "code": "rec-ultrasound",
      "display": "Ultrasound examination"
    },
    {
      "code": "rec-breast-specialist",
      "display": "Breast specialist consultation"
    },
    {
      "code": "rec-consultation",
      "display": "Consultation with breast specialist"
    },
    {
      "code": "rec-biopsy-ultrasound",
      "display": "Biopsy under ultrasound"
    },
    {
      "code": "rec-biopsy",
      "display": "Biopsy indicated"
    },
    {
      "code": "rec-stereotactic-biopsy",
      "display": "Stereotactic biopsy"
    },
    {
      "code": "rec-mri",
      "display": "MRI examination"
    },
    {
      "code": "rec-next-mammography",
      "display": "Next mammography after N months"
    },
    {
      "code": "rec-follow-up-6m",
      "display": "Follow-up in 6 months"
    },
    {
      "code": "rec-biopsy-indicated",
      "display": "Biopsy indicated"
    }
  ]
}